| 鲍氏不动杆菌所致ICU感染的原因分析与措施 |
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| 引用本文： | 祝炳方,孙维敏,赵琪,周丽珍. 鲍氏不动杆菌所致ICU感染的原因分析与措施[J]. 中华医院感染学杂志, 2011, 21(21): 4499-4500 |
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| 作者姓名： | 祝炳方 孙维敏 赵琪 周丽珍 |
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| 作者单位： | 1. 南京医科大学附属无锡人民医院检验科,江苏无锡,214023
2. 南京医科大学附属无锡人民医院感染科,江苏无锡,214023 |
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| 摘 要： | 目的对一起由鲍氏不动杆菌所致ICU感染的原因进行分析。方法根据8例患者痰细菌鉴定鲍氏不动杆菌,且耐药性高度相似,对ICU展开全面的环境监测,包括病房空气、吸引管开关、吸引连接管接头、微泵表面、呼吸机面板、EDA表面、手提电脑鼠标、监护器面板进行细菌鉴定。结果吸引连接管接头、呼吸机面板检出鲍氏不动杆菌;该菌除对头孢哌酮/舒巴坦的耐药率为25.0%,中介率为75.0%外,对其他抗菌药物的耐药率均为100.0%。结论这起由鲍氏不动杆菌引起的ICU感染,主要通过工作人员的手污染了周围环境,再通过接触传播,在呼吸机使用中引起患者感染,加强对工作人员的培训,严格执行手卫生,严格消毒可减少医院感染。
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| 关 键 词： | 鲍氏不动杆菌 重症监护病房 感染 原因分析 措施 |
Causes and related response for Acinetobacter baumannii infections in ICU |
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| ZHU Bing-fang,SUN Wei-min,ZHAO Qi,ZHOU Li-zhen. Causes and related response for Acinetobacter baumannii infections in ICU[J]. Chinese Journal of Nosocomiology, 2011, 21(21): 4499-4500 |
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| Authors: | ZHU Bing-fang SUN Wei-min ZHAO Qi ZHOU Li-zhen |
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| Affiliation: | (Wuxi People′s Hospital Affiliated to Nanjing Medical University,Wuxi,Jiangsu 214023,China) |
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| Abstract: | OBJECTIVE To analyze cause of one Acinetobacter baumannii(ABA)infections in ICU. METHODS Since eight ICU patients' sputum culture shows A.baumannii positive result and their drug resistance was similar,we took full environment examination in ICU.The examination includes the air,suction switch,suction connectors,surface of infusion bumps,ventilators panels,surface of EDA,mouse of portable computer,monitors panels.All above were subjected to bacterial examination. RESULTS The suction connectors and ventilator... |
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| Keywords: | Acinetobacter baumannii ICU Infection Causes analysis Measures |
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